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This study examines the demographic, clinical, and laboratory characteristics of patients with diabetic foot ulcers admitted to 5 Azar Hospital, Gorgan, in 2024. By analyzing factors such as Hb, WBC, HbA1C, ESR, and CRP in relation to ulcer severity, the study aims to identify predictors of outcomes and support more effective prevention and management strategies
Diabetic foot ulcer (DFU) is one of the most serious and preventable complications in diabetic patients, often leading to infection, hospitalization, lower limb amputation, and increased mortality. This cross-sectional descriptive-analytical study aims to investigate the demographic, clinical, and laboratory characteristics of approximately 200 patients with DFU admitted to 5 Azar Hospital, Gorgan, in 2024. Data will be retrospectively collected from medical records after obtaining ethical approval.
The study will analyze relationships between patient demographics, clinical features, and laboratory findings (including Hb, WBC, HbA1C, ESR, CRP) with ulcer severity based on Wagner's classification. Statistical tests such as independent t-test, chi-square, Fisher's exact test, and multivariable logistic regression will be used.
By identifying key factors associated with ulcer severity and outcomes, the findings of this study may contribute to more effective prevention and management strategies for diabetic foot ulcers, ultimately reducing complications and healthcare costs
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| Measure | Description | Time Frame |
|---|---|---|
| Severity of diabetic foot ulcer (measured by Wagner classification at admission) | Measured by Wagner classification | Baseline |
| Laboratory parameters and ulcer grade | Association between Hb, WBC, HbA1C, ESR, and CRP levels with Wagner ulcer grade | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of diabetes until ulcer onset | Time (in years) between diabetes diagnosis and first DFU occurrence | Baseline |
| Smoking status and ulcer severity | Correlation between smoking history (yes/no) and Wagner ulcer grade |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will consist of approximately 200 patients with diabetic foot ulcers admitted to 5 Azar Hospital, Gorgan, during 2024. Patients will be identified retrospectively from hospital medical records. Both demographic and clinical data, as well as laboratory findings, will be extracted for analysis
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pezhman Kharazm | Contact | 09111751861 | pezhmankh@goums.ac.ir |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 5Th Azar Medical Center | Recruiting | Gorgan | Outside of the US | 4917956808 | Iran |
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| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
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| Baseline |
| Treatment outcomes | Frequency of outcomes: antibiotic therapy, wound debridement, or amputation | At hospital discharge (average of 10 days) |
| Ulcer recurrence | Number of hospital readmissions due to DFU. | During 12-month follow-up (based on records) |
| Demographic distribution | Age, sex, occupation, and ethnicity of DFU patients | Baseline |
| D007871 |
| Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |